Hemobilia is an uncommon cause of gastrointestinal hemorrhage and difficult to diagnosis. Clinical presentations
are upper gastrointestinal hemorrhage, abdominal pain and obstructive jaundice. There are various mechanisms of
hemobilia such as bleeding tumor of bile duct, ductal tear, a communication or fistula between the biliary tract and
vascular system resulting from iatrogenic, trauma, tumor, gallstone, inflammation and vascular disorder. Urgent investigation should be done by endoscopy, computerized angiography and angiography for definite diagnosis and plan of treatment. The principle of therapy are resuscitation, control hemorrhage and restoration bile flow from obstruction. Multimodality approach is the mainstay of treatment including medical therapy, endoscopy, intervention radiology and surgery.